Glen Earl Jones, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN15427 Issued in FL

Practice address

168 14TH St SW
Suite B
Largo, FL 33770-6103

Phone

(727) 585-5494

Fax

(727) 584-1820

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2015 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bay Center for Oral & Implant Surgery, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Largo, FL
  • NPI 1073784872
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1962580423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 14TH ST SW",
            "address_2": "SUITE B",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337706103",
            "telephone_number": "727-585-5494",
            "fax_number": "727-584-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 14TH ST SW",
            "address_2": "SUITE B",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337706103",
            "telephone_number": "727-585-5494",
            "fax_number": "727-584-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "GLEN",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN15427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Fredercik Johnson, M.D.
• Jojo Rehab Therapy. LLC.
• Jon R Thogmartin MD PA
• Barry Jones
• Darrell Van Jones, RBT-24-379871
• James R Jones, MD
• Kvon Jones
• Roderick C. Jones, D.C.
• Sara K Jones, APRN
• Scott C Jones, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Largo, FL
• Providers in Largo, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.